Provider Demographics
NPI:1891947255
Name:PRATT, KATHERINE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:A
Last Name:PRATT
Suffix:
Gender:F
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:1400 E BOULDER ST
Mailing Address - Street 2:MEMORIAL HOSPITAL, CARE UNIT 4, SOCIAL WORK OFFICE
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5533
Mailing Address - Country:US
Mailing Address - Phone:719-365-1161
Mailing Address - Fax:719-365-8980
Practice Address - Street 1:1400 E BOULDER ST
Practice Address - Street 2:MEMORIAL HOSPITAL, CARE UNIT 4, SOCIAL WORK OFFICE
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:719-365-1161
Practice Address - Fax:719-365-8980
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2152491041C0700X
CO21081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical